Substance Use and Misuse in Rural Areas – Resources
Selected recent or important resources focusing on Substance Use and Misuse in Rural Areas.
Rural Health Care and Medicaid Telehealth Flexibilities, and Guidance Regarding Section 1009 of the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act (Pub. L. 115-271), entitled Medicaid Substance Use Disorder Treatment via Telehealth
Discusses the benefits of utilizing telehealth services to expand access to Medicaid services in rural areas and the flexibility states have in covering these services. Provides guidance on options states have to receive federal reimbursement for substance use disorder treatments provided via telehealth services.
Date: 04/2020
Sponsoring organization: Centers for Medicare and Medicaid Services
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Discusses the benefits of utilizing telehealth services to expand access to Medicaid services in rural areas and the flexibility states have in covering these services. Provides guidance on options states have to receive federal reimbursement for substance use disorder treatments provided via telehealth services.
Date: 04/2020
Sponsoring organization: Centers for Medicare and Medicaid Services
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Nonfatal Drug Overdoses Treated in Emergency Departments — United States, 2016–2017
Examines nonfatal overdoses for all drugs, all opioids, nonheroin opioids, heroin, benzodiazepines, and cocaine. Looks at changes from 2016 to 2017, with data by drug type, patient, facility, and visit characteristics. Includes data by county urbanization level for metropolitan and nonmetro counties.
Author(s): Alana M. Vivolo-Kantor, Brooke E. Hoots, Lawrence Scholl, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 69(13), 371-376
Date: 04/2020
Sponsoring organization: Centers for Disease Control and Prevention
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Examines nonfatal overdoses for all drugs, all opioids, nonheroin opioids, heroin, benzodiazepines, and cocaine. Looks at changes from 2016 to 2017, with data by drug type, patient, facility, and visit characteristics. Includes data by county urbanization level for metropolitan and nonmetro counties.
Author(s): Alana M. Vivolo-Kantor, Brooke E. Hoots, Lawrence Scholl, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 69(13), 371-376
Date: 04/2020
Sponsoring organization: Centers for Disease Control and Prevention
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Motivation to Change and Treatment Participation Among Syringe Service Program Utilizers in Rural Kentucky
Details a study on the efficacy of syringe services programs (SSPs) in connecting people who inject drugs to treatment programs in rural Kentucky. Breaks down data by age, sex, and substances used of SSP users, among other measures. Highlights rates of SSP users who sought treatment for substance use disorder.
Author(s): Hilary L. Surratt, Janet K. Otachi, Timothy Williams, et al.
Citation: Journal of Rural Health, 36(2), 224-233
Date: 03/2020
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Details a study on the efficacy of syringe services programs (SSPs) in connecting people who inject drugs to treatment programs in rural Kentucky. Breaks down data by age, sex, and substances used of SSP users, among other measures. Highlights rates of SSP users who sought treatment for substance use disorder.
Author(s): Hilary L. Surratt, Janet K. Otachi, Timothy Williams, et al.
Citation: Journal of Rural Health, 36(2), 224-233
Date: 03/2020
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Prevalence and Severity of Alcohol and Cannabis Use Across the Urban-Rural Continuum in the Michigan National Guard
Highlights a study on rural and urban differences in alcohol and cannabis use among National Guard members in Michigan. Breaks down data by demographic information, mental health issues, and service characteristics, as well as rural versus urban location.
Author(s): Lara N. Coughlin, Maureen A. Walton, Richard McCormick, Frederic C. Blow
Citation: Journal of Rural Health, 36(2), 234-239
Date: 03/2020
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Highlights a study on rural and urban differences in alcohol and cannabis use among National Guard members in Michigan. Breaks down data by demographic information, mental health issues, and service characteristics, as well as rural versus urban location.
Author(s): Lara N. Coughlin, Maureen A. Walton, Richard McCormick, Frederic C. Blow
Citation: Journal of Rural Health, 36(2), 234-239
Date: 03/2020
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Low Burden Strategies Are Needed to Reduce Smoking in Rural Healthcare Settings: A Lesson from Cancer Clinics
Details a study on the effectiveness of an electronic health record-based smoking cessation module in providing cessation services to rural cancer patients. Presents data by patient characteristics, services accessed, and rural versus urban location, among other measures.
Author(s): Alex T. Ramsey, Timothy B. Baker, Giang Pham, et al.
Citation: International Journal of Environmental Research and Public Health, 17(5), 1728
Date: 03/2020
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Details a study on the effectiveness of an electronic health record-based smoking cessation module in providing cessation services to rural cancer patients. Presents data by patient characteristics, services accessed, and rural versus urban location, among other measures.
Author(s): Alex T. Ramsey, Timothy B. Baker, Giang Pham, et al.
Citation: International Journal of Environmental Research and Public Health, 17(5), 1728
Date: 03/2020
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Touchpoints for Addressing Substance Use Issues in Home Visiting: Phase 1 Final Report
Report details information and guidance for addressing substance use issues encountered during home visiting. Discusses substance use issues and the way home visiting can address those issues while supporting families. Features a number of questions and answers and includes discussion regarding home visiting in rural areas.
Additional links: Executive Summary
Date: 03/2020
Sponsoring organizations: Administration for Children and Families, Mathematica, Office of Planning, Research, and Evaluation
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Report details information and guidance for addressing substance use issues encountered during home visiting. Discusses substance use issues and the way home visiting can address those issues while supporting families. Features a number of questions and answers and includes discussion regarding home visiting in rural areas.
Additional links: Executive Summary
Date: 03/2020
Sponsoring organizations: Administration for Children and Families, Mathematica, Office of Planning, Research, and Evaluation
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Patterns and Characteristics of Methamphetamine Use Among Adults — United States, 2015–2018
Reports on methamphetamine use rates in the U.S. and identifies characteristics associated with past-year methamphetamine use. Includes data on past-year meth use by county of residence for large metropolitan, small metro, and nonmetro counties.
Author(s): Christopher M. Jones, Wilson M. Compton, Desiree Mustaquim
Citation: MMWR (Morbidity and Mortality Weekly Report), 69(12), 317-323
Date: 03/2020
Sponsoring organization: Centers for Disease Control and Prevention
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Reports on methamphetamine use rates in the U.S. and identifies characteristics associated with past-year methamphetamine use. Includes data on past-year meth use by county of residence for large metropolitan, small metro, and nonmetro counties.
Author(s): Christopher M. Jones, Wilson M. Compton, Desiree Mustaquim
Citation: MMWR (Morbidity and Mortality Weekly Report), 69(12), 317-323
Date: 03/2020
Sponsoring organization: Centers for Disease Control and Prevention
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Drug and Opioid-Involved Overdose Deaths — United States, 2017–2018
Examines drug overdose deaths involving all opioids, prescription opioids, heroin, and synthetic opioids other than methadone. Includes data by county urbanization level for metropolitan and nonmetro counties.
Author(s): Nana Wilson, Mbabazi Kariisa, Puja Seth, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 69(11), 290-297
Date: 03/2020
Sponsoring organization: Centers for Disease Control and Prevention
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Examines drug overdose deaths involving all opioids, prescription opioids, heroin, and synthetic opioids other than methadone. Includes data by county urbanization level for metropolitan and nonmetro counties.
Author(s): Nana Wilson, Mbabazi Kariisa, Puja Seth, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 69(11), 290-297
Date: 03/2020
Sponsoring organization: Centers for Disease Control and Prevention
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Predictors of Substance Use Disorder and Mental Health Treatment Use Among Rural Adults using Stimulants over Three Years
Details a study on the factors that predict mental health and substance use treatment utilization among rural stimulant users. Breaks down data from 2002 to 2008 by race, age, and substance use, among other measures.
Author(s): Michael A. Cucciare, Songthip T. Ounpraseuth, Geoffrey M. Curran, Brenda M. Booth
Citation: Substance Abuse, 40(3), 363-370
Date: 02/2020
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Details a study on the factors that predict mental health and substance use treatment utilization among rural stimulant users. Breaks down data from 2002 to 2008 by race, age, and substance use, among other measures.
Author(s): Michael A. Cucciare, Songthip T. Ounpraseuth, Geoffrey M. Curran, Brenda M. Booth
Citation: Substance Abuse, 40(3), 363-370
Date: 02/2020
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Predictors of Substance Use Treatment Initiation and Engagement Among Adult and Adolescent Medicaid Recipients
Presents a study on the indicators of substance use treatment among Medicaid recipients in rural and urban areas. Breaks down data by race, sex, and co-occurring conditions, among other measures.
Author(s): Bonnie K. Lind, Dennis McCarty, Yifan Gu, et al.
Citation: Substance Abuse, 40(3), 285-291
Date: 02/2020
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Presents a study on the indicators of substance use treatment among Medicaid recipients in rural and urban areas. Breaks down data by race, sex, and co-occurring conditions, among other measures.
Author(s): Bonnie K. Lind, Dennis McCarty, Yifan Gu, et al.
Citation: Substance Abuse, 40(3), 285-291
Date: 02/2020
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Additional resources are available related to this guide. See the full list of resources by topic for:
- Alcohol use
- Behavioral health
- Behavioral health workforce
- Illicit drug use
- Prescription drug misuse
- Substance use and misuse
- Tobacco use
Last Updated: 5/12/2025